Comparison of anterolateral thigh and radial forearm free flap donor site morbidity

Microsurgery ◽  
2007 ◽  
Vol 27 (8) ◽  
pp. 651-654 ◽  
Author(s):  
Christine B. Novak ◽  
Joan E. Lipa ◽  
Sabrena Noria ◽  
Keith Allison ◽  
Peter C. Neligan ◽  
...  
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Radial Forearm Free Flap ◽  
Anterolateral Thigh ◽  
Radial Forearm

Donor-Site Morbidity of the Radial Forearm Free Flap after 125 Phalloplasties in Gender Identity Disorder

2006 ◽  
Vol 118 (5) ◽  
pp. 1171-1177 ◽  
Author(s):  
Gennaro Selvaggi ◽  
Stan Monstrey ◽  
Piet Hoebeke ◽  
Peter Ceulemans ◽  
Koen Van Landuyt ◽  
...  
Keyword(s):  
Gender Identity ◽  
Free Flap ◽  
Gender Identity Disorder ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Radial Forearm Free Flap ◽  
Radial Forearm

Functional reconstruction of subtotal glossectomy defects with radial forearm free flap: case report and review of literature

Folia Medica ◽  
2012 ◽  
Vol 54 (2) ◽  
pp. 60-65 ◽  
Author(s):  
Dimitar D. Pazardzhikliev ◽  
Christo D. Shipkov ◽  
Ilya P. Yovchev ◽  
Regina H. Khater ◽  
Ivailo S. Kamishev
Keyword(s):  
Case Report ◽  
Free Flap ◽  
Donor Site ◽  
Perforator Flap ◽  
Functional Results ◽  
Donor Site Morbidity ◽  
Oral Feeding ◽  
Tram Flap ◽  
Radial Forearm Free Flap ◽  
Radial Forearm

ABSTRACT Adequate reconstruction of defects that are consequences of glossectomy is of primary importance for achieving satisfactory functional results and improving the quality of life. AIM: The aim of this study was to report a case of free flap reconstruction of a subtotal glossectomy defect and discuss it in relation to other available methods. CASE REPORT: A 48- year-old woman was operated on for a T4N0M0 squamous cell carcinoma of the tongue. A subtotal glossectomy via mandibular swing procedure with bilateral supraomohyoid neck dissection and reconstruction with a radial forearm free flap (RFFF) was performed. Surgery was followed by adjuvant radiotherapy. RESULTS: The post-operative period was uneventful. The patient resumed intelligible speech evaluated as “excellent” and oral feeding. The donor site morbidity was acceptable. Present reconstructive options of the tongue include two categories: to maintain mobility or to provide bulk. In glossectomy with 30 to 50 percent preservation of the original musculature, maintaining the mobility of the remaining tongue by a thin, pliable flap is preferred. This can be achieved by infrahyoid myofascial, medial sural artery perforator flap, RFFF, anterolateral thigh and ulnar forearm flap. When the post-resectional volume is less than 30 percent of the original tongue, the reconstruction shifts to restoration of bulk to facilitate swallowing by providing contact of the neotongue with the palate. Flaps providing bulk include the free TRAM flap, latissimus dorsi myocutaneous free flap, pectoralis major musculocutaneous flap and trapezius island flap. CONCLUSION: Surgical treatment of advanced tongue cancer requires adequate reconstruction with restoration of speech, swallowing and oral feeding. Free tissue transfer seems to achieve superior functional results with acceptable donor site morbidity when indicated.

R011: Donor Site Morbidity with Radial Forearm Free Flap

2007 ◽  
Vol 137 (2_suppl) ◽  
pp. P151-P152
Author(s):  
Maya Sardesai ◽  
John H-J Yoo ◽  
Jason H Franklin ◽  
Connie Wyllie Naftel ◽  
Linda Denning ◽  
...  
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Radial Forearm Free Flap ◽  
Radial Forearm

Osteocutaneous radial forearm free flap: Its use without significant donor site morbidity

2000 ◽  
Vol 123 (6) ◽  
pp. 711-717 ◽  
Author(s):  
Andreas H. Werle ◽  
Terance T. Tsue ◽  
E. Bruce Toby ◽  
Douglas A. Girod
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Radial Forearm Free Flap ◽  
Radial Forearm

MatriDerm Decreases Donor Site Morbidity After Radial Forearm Free Flap Harvest in Transgender Surgery

2017 ◽  
Vol 14 (10) ◽  
pp. 1277-1284 ◽  
Author(s):  
William Watfa ◽  
Pietro G. di Summa ◽  
Joaquim Meuli ◽  
Wassim Raffoul ◽  
Olivier Bauquis
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Radial Forearm Free Flap ◽  
Radial Forearm ◽  
Transgender Surgery

An Algorithm for the Prevention and Treatment of Pain Complications of the Radial Forearm Free Flap Donor Site

2020 ◽  
Vol 36 (09) ◽  
pp. 680-685
Author(s):  
Nicholas A. Calotta ◽  
Akash Chandawarkar ◽  
Shaun C. Desai ◽  
A. Lee Dellon
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Treatment Algorithm ◽  
Sensory Nerve ◽  
Neurological Complications ◽  
Donor Site Morbidity ◽  
Cutaneous Nerve ◽  
Radial Forearm Free Flap ◽  
Nerve Blocks ◽  
Radial Forearm

Abstract Background The radial forearm free flap (RFFF) is a staple of microsurgical reconstruction. Significant attention has been paid to donor-site morbidity, particularly vascular and aesthetic consequences. Relatively few authors have discussed peripheral nerve morbidity such as persistent hypoesthesia, hyperesthesia, or allodynia in the hand and wrist or neuroma formation in the wrist and forearm. Here, we present a diagnostic and therapeutic algorithm for painful neurologic complications of the RFFF donor site. Materials and Methods The peripheral nerves that can be involved with the RFFF are reviewed with respect to the manner in which they may be involved in postoperative pain manifestations. A method for prevention and for treatment of each of these possibilities is also presented. Results Nerves from the forearm that can be harvested with the RFFF will have the most likelihood for injury and these include the lateral antebrachial cutaneous nerve, the radial sensory nerve, and the medial antebrachial cutaneous nerve. A nerve that may be injured at the distal juncture of the skin graft to the forearm is the palmar cutaneous branch of the median nerve. The “prevention” portion of the algorithm suggests that each nerve divided to become a recipient nerve should have its proximal end implanted into a muscle to prevent painful neuroma. The “treatment” portion of the algorithm suggests that if a neuroma does form, it should be resected, not neurolysed, and the proximal portion should be implanted into an adjacent muscle. The diagnostic role of nerve block is emphasized. Conclusion Neurological complications following RFFF can be prevented by an appropriate algorithm as described by devoting attention to the proximal end of recipient nerves. Neurological complications, once present, can be difficult to diagnose accurately. Nerve blocks are critical in this regard and are employed in the treatment algorithm presented.

scholarly journals Long-term biomechanical donor site morbidity after radial forearm free flap

2017 ◽  
Vol 46 ◽  
pp. 189
Author(s):  
C. Rendenbach ◽  
C. Kohlmeier ◽  
H. Kreiker ◽  
A.T. Assaf ◽  
H. Hanken ◽  
...  
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Radial Forearm Free Flap ◽  
Radial Forearm

Donor-Site Morbidity of the Radial Forearm Free Flap versus the Ulnar Forearm Free Flap

2013 ◽  
Vol 132 (2) ◽  
pp. 387-393 ◽  
Author(s):  
Dominique D. Hekner ◽  
Jan H. Abbink ◽  
Robert J. van Es ◽  
Antoine Rosenberg ◽  
Ronald Koole ◽  
...  
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Radial Forearm Free Flap ◽  
Radial Forearm

Endoscopic-Assisted Radial Forearm Free Flap Harvest: A Novel Technique to Reduce Donor Site Morbidity

2018 ◽  
Vol 35 (01) ◽  
pp. 022-030 ◽  
Author(s):  
Emily Van Kouwenberg ◽  
Alan Yan ◽  
Ashit Patel ◽  
Rick McLaughlin ◽  
Patricia Northrup ◽  
...  
Keyword(s):  
Free Flap ◽  
Donor Site ◽  
Donor Site Morbidity ◽  
Cephalic Vein ◽  
Functional Score ◽  
Head And Neck Reconstruction ◽  
Radial Forearm Free Flap ◽  
Novel Technique ◽  
Patient Reported ◽  
Radial Forearm

Background The radial forearm free flap (RFFF) remains a workhorse flap but can have significant donor site morbidity. The authors developed a novel technique for endoscopic-assisted RFFF (ERFFF) harvest and hypothesized improved donor site morbidity. Methods A retrospective cohort study was conducted evaluating patients who underwent ERFFF or RFFF by a single surgeon for head and neck reconstruction between November 2011 and July 2016; outcomes and complications were compared. A telephone survey was conducted to assess patient satisfaction with donor site appearance and function. Results Twenty-seven ERFFF and 13 RFFF harvests were performed. The cephalic vein was less commonly incorporated in ERFFF patients compared with RFFF patients (3.70 and 38.46%, respectively, p = 0.0095). ERFFF patients had lower rates of wound healing complications (0% vs. 15.38%, p = 0.10) and perfusion-related complications than RFFF patients (3.70% vs. 23.08%, p = 0.092). Fewer ERFFF patients reported a desire for a more normal appearance (42.86% vs. 71.43%, p = 0.361). The ERFFF group had a higher functional score (64.29% vs. 44.44%, p = 0.101), reporting lower rates of associated discomfort (35.71% vs. 85.71%, p = 0.063). None of the differences in rates of complications or patient-reported outcomes between the groups reached statistical significance. Conclusion ERFFF is safe and effective alternative to RFFF, with similar operative time, similar pedicle safety, and elimination of the lengthy forearm incision. Unnecessary cephalic vein dissection can be avoided with endoscopic visualization of the venae comitantes. Further research with a larger sample size and better standardization is needed to assess effects on donor-site morbidity.

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